A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

Design interventions for a student's individual education plan (IEP).

Teach students about healthy food choices.

Perform first aid for minor injuries.

Perform scoliosis screenings for students.

Answer and Explanation

The Correct Answer is B

A. Design interventions for a student's individual education plan (IEP): This action focuses on addressing the specific needs of an individual student, which is more aligned with secondary prevention by providing tailored support for those who may already be at risk.

B. Teach students about healthy food choices: This intervention addresses primary prevention by promoting healthy behaviors and lifestyle choices that can help prevent health issues before they occur. Educating students about nutrition empowers them to make informed decisions that support their overall health.

C. Perform first aid for minor injuries: Providing first aid is a reactive measure that addresses immediate health issues rather than preventing them from occurring in the first place. This intervention aligns more closely with secondary prevention, which focuses on managing health conditions after they arise.

D. Perform scoliosis screenings for students: Screening for scoliosis is a method of identifying potential health issues early, which is characteristic of secondary prevention. It aims to detect and address problems early rather than preventing them altogether.

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Correct Answer is A

Explanation

A. "We should start tracking how soon clients are discharged after laparoscopic versus open surgery.": This statement reflects the QSEN concept of quality improvement by focusing on collecting and analyzing data related to patient discharge times. By tracking this information, the team can identify trends, evaluate the effectiveness of care, and implement changes to improve patient outcomes and streamline the discharge process.

B. "We should be sure to log out of the computers immediately following documentation.": While this statement emphasizes an important aspect of safety and confidentiality in documentation, it does not directly address quality improvement initiatives. It focuses more on operational procedures rather than evaluating and enhancing the quality of patient care.

C. "We should involve our clients' partners in care planning as much as possible.": Involving clients' partners in care planning aligns with the QSEN concept of patient-centered care. While this approach is essential for improving patient satisfaction and outcomes, it is not specifically a quality improvement initiative.

D. "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care.": This statement reflects teamwork and communication strategies, which are important for effective patient care. However, it does not directly focus on quality improvement initiatives aimed at evaluating and enhancing the overall quality of care provided to clients.

A. "The client has a new prescription for incentive spirometry." B. "The client's partner plans to return later today." C. "The client has no living family members." D. "I initiated a consultation by a nutritionist."

Correct Answer is C

Explanation

A. "The client has a new prescription for incentive spirometry.": This statement is more appropriate for the "Assessment" or "Recommendation" section, as it pertains to current treatment plans and interventions rather than the background context of the client's history.

B. "The client's partner plans to return later today.": This information is relevant to the client's social support and engagement but is not critical background information. It may be included in the "Situation" or "Recommendation" sections instead.

C. "The client has no living family members.": This statement is pertinent to the "Background" portion, as it provides important context regarding the client's social situation and support system. Understanding the client's background helps the receiving nurse assess potential psychosocial needs and planning for care.

D. "I initiated a consultation by a nutritionist.": This action relates to ongoing care and assessment of the client's nutritional needs, making it more appropriate for the "Assessment" or "Recommendation" section. It is not part of the historical background needed for effective handoff.

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A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

Correct Answer is A

Explanation

A newly licensed nurse is giving a change-of-shift report using Introductions, Situation, Background, Assessment, Recommendation (ISBAR) to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

Correct Answer is C

Explanation

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